JASON ETHEREDGE MD, PHD
NPI 1053517573
Psychiatry & Neurology - Psychiatry in Wichita, KS

Active since June 22, 2007
1010 N KANSAS ST, WICHITA, KS 67214(316) 268-5000 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jason Etheredge Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON ETHEREDGE MD, PHD (NPI 1053517573) is an individual psychiatry provider in Wichita, Kansas, licensed in Kansas (046821) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053517573
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJASON ETHEREDGECredential: MD, PHD
Location Address1010 N KANSAS STWichita, KS 67214-3124
Mailing Address1010 N Kansas StWichita, KS 67214-3124
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateMarch 18, 2008
NPI 1053517573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in KS · 046821
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1010 N KANSAS ST, Wichita, KS 67214

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1010 N KANSAS ST
WICHITA, KS 67214
Hospitalist
1010 N KANSAS ST
WICHITA, KS 67214
Pediatrics
1010 N KANSAS ST
WICHITA, KS 67214
Anesthesiology
1010 N KANSAS ST
WICHITA, KS 67214
Anesthesiology
1010 N KANSAS ST
WICHITA, KS 67214
Radiology (Diagnostic Radiology)
1010 N KANSAS ST
WICHITA, KS 67214
Anesthesiology
1010 N KANSAS ST
WICHITA, KS 67214
Pediatrics
1010 N KANSAS ST
WICHITA, KS 67214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Etheredge's NPI number?

The NPI number for Jason Etheredge is 1053517573. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Jason Etheredge located?

Jason Etheredge practices at 1010 N Kansas St, Wichita, KS 67214. The listed phone number is (316) 268-5000.

What is Jason Etheredge's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jason Etheredge was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.